| Cannariato & Driesch Family Medicine, Pc | |
|
350 Elm St Penn Yan NY 14527-1445 | |
| (315) 536-0077 | |
| (315) 536-4494 |
| Full Name | Cannariato & Driesch Family Medicine, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 350 Elm St, Penn Yan, New York |
| Authorized Official Name and Position | Catherine Jean Cannariato (PRESIDENT) |
| Authorized Official Contact | 3155360077 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cannariato & Driesch Family Medicine, Pc 350 Elm St Penn Yan NY 14527-1445 Ph: (315) 536-0077 | Cannariato & Driesch Family Medicine, Pc 350 Elm St Penn Yan NY 14527-1445 Ph: (315) 536-0077 |
| NPI Number | 1134317084 |
|---|---|
| Provider Enumeration Date | 10/04/2007 |
| Last Update Date | 10/04/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134317084 | NPI | - | NPPES |
| AA0423 | Other | NY | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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